| NPI | 1649344391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX K9153) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K9153) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX K9153) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2021-12-01 |